| NPI | 1972987428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056049) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47967) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |